Pregnancy after laparoscopic partial cystectomy for bladder endometriosis
Case report
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⤵ 16 in-corpus citations
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Laparoscopic partial cystectomy was performed to successfully treat recurrent bladder endometriosis in a 31-year-old infertile patient, who subsequently achieved a normal pregnancy.
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Abstract
We report a case of partial laparoscopic cystectomy in a 31-year-old infertile patient presenting vesical endometriosis. This patient had suffered severe dysmenorrhoea for 10 years previously together with repeated episodes of urinary infection, mostly occurring during the menstrual period. A diagnostic laparoscopy performed in another centre diagnosed a stage IV endometriosis. Gonadotrophin-releasing hormone agonists were prescribed for 9 months. After failure of this treatment, the patient came to consult us. A solid mass in the left supratrigone was detected by pelvic ultrasonography and confirmed by cystoscopy. Transurethral resection was carried out. A recurrence of the symptoms 9 months later prompted operative laparoscopy under cystoscopic control. This confirmed recurrence of a 3.5 cm endometriotic nodule. Laparoscopic partial cystectomy was performed using the monopolar electrode. The bladder was then sutured via laparoscopy. No complications occurred. No postoperative treatment was given. Second-look cystoscopy 2 months later revealed that healing was perfect. Eight months later, the patient is well and has a normal intra-uterine pregnancy.
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Cited by (15)
- Endometriosis ureteral y vesical 2012
- Endométriose urétérale et vésicale 2012
- Surgery for deep endometriosis: a pathogenesis-oriented approach 2009
- Bladder endometriosis: laparoscopic treatment and follow-up 2008
- Laparoscopic excision of deep endometriosis 2004
- Tratamiento laparoscópico de la endometriosis vesical 2003
- Intramural Bladder Endometriosis After Cesarean Section: Diagnostic and Therapeutic Aspects 2002
- The concept of ‘adenomyotic disease of the retroperitoneal space’ is born 2001
- Laparoscopic partial bladder resection for bladder endometriosis 1999
- Magnetic resonance imaging characteristics of deep endometriosis 1999
- [Ureteral and vesicular endometriosis: case report] 1999
- Extrapelvic endometriosis 1997
- Laparoscopic Management of Intentional and Unintentional Cystotomies 1996
- Laparoscopic treatment of deep endometriosis located on the uterosacral ligaments 1996
- Laparoscopic treatment of symptomatic endometriosis 1996
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